Laboratorio Clinico C & C , CSP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

978 Issued in PR

Legal business name

LABORATORIO CLINICO C & C , CSP

Practice address

Carr 335 Centro Comercial Barinas Suite 201
Barrio Barinas
Yauco, PR 00698

Phone

(787) 267-3869

Fax

(787) 856-8061

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rudercindo Caraballo, M.T.

Title

Licenciado Tecnologo Medico

Phone

(787) 267-3869

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1184632721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5161",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985161",
            "telephone_number": "787-267-3869",
            "fax_number": "787-856-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 335 CENTRO COMERCIAL BARINAS SUITE 201",
            "address_2": "BARRIO BARINAS",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-267-3869",
            "fax_number": "787-856-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO C & C , CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "RUDERCINDO",
        "authorized_official_title_or_position": "LICENCIADO TECNOLOGO MEDICO",
        "authorized_official_telephone_number": "787-267-3869",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmundo Jusino Sr., MD
• Ada I Kercado, M.ED.
• Kpharma, LLC (CAPharma)
• Lab Susua
• Laboratorio Clinico Almacigo
• Laboratorio Clinico Catala & Vicente Inc.
• Laboratorio Clinico Catala Vicente
• Laboratorio Clinico Irizarry Guasch Inc
• Laboratorio Clinico Rosa E Ortiz,P.S.C.
• Laboratorio Clinico Yaucano Inc. (Tecnolab)

• Clinical Medical Laboratory in Yauco, PR
• Providers in Yauco, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.